Active NPI
Norma M Valles-Lebron, MD
- Internal Medicine Physician
- San Antonio, TX
National Provider Identifier
1144292467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K9924
- Practice address
- 2455 NE Loop 410
Ste 100
San Antonio, TX 78217-5649 - Phone
- (210) 599-6000
- Fax
- (210) 657-5586
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | K9924 | TX | |
| Internal Medicine Physician | 207R00000X | K9924 | TX | Primary |
Addresses
Primary practice location
2455 NE Loop 410
Ste 100
San Antonio, TX 78217-5649
Mailing address
2455 NE Loop 410
Ste 100
San Antonio, TX 78217-5649
Phone (210) 599-6000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0963084-06 | Other | TX | WELLMED MEDICAID |
| K9924 | Other | TX | STATE LICENSE |
| 096308404 | Medicaid | TX | |
| TXB151200 | Other | TX | WELLMED MEDICARE |
Other names 1
- Norma M Valles
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Internal Medicine | Current | Accepting new patients |
| South Alamo Medical Group, P.a. | Internal Medicine | Past | Accepting new patients |
Locations
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
10121 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-8466
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
Internal Medicine
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1316023773
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1144292467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 NE LOOP 410",
"address_2": "STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175649",
"telephone_number": "210-599-6000",
"fax_number": "210-657-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 NE LOOP 410",
"address_2": "STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175649",
"telephone_number": "210-599-6000",
"fax_number": "210-657-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLES-LEBRON",
"first_name": "NORMA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "K9924",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K9924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED MEDICAID",
"identifier": "0963084-06",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "K9924",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096308404",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED MEDICARE",
"identifier": "TXB151200",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NORMA",
"last_name": "VALLES",
"middle_name": "M",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.